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Individual

MS. JODIE LYNN PORGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RR, CDE

Contact information

Practice address
1300 CRANE ST, MENLO PARK, CA 94025
(650) 498-6500
Mailing address
PO BOX 742244, LOS ANGELES, CA 90074-2244
(650) 498-6500
(510) 974-8322

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD.6128
OH
133V00000X
Registered Dietitian
Primary
RD940744
CA

Other

Enumeration date
09/07/2011
Last updated
01/02/2019
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